Individual provider · Type 1 NPI
Amanda Marie Antonino, APRN
Adult Health Nurse Practitioner · Bozrah, CT
NPI number
1679012751
Active
Practice location
197 Fitchville Rd, Apt 5
Bozrah, CT 06334-1135
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 6802 (CT) |
| Gerontology Nurse Practitioner | 363LG0600X | 6802 (CT) |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1679012751
Amanda Marie Antonino, APRN's National Provider Identifier is 1679012751, issued on Feb 22, 2017. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Bozrah, CT. The record was last updated on Feb 22, 2017.